I suppose if an evil one had the read only key, you could load the database, change the name, then alter a record, then save it again under a different name? I don't know (obviously I don't know much about databases, but I know more than the juror that stayed at the holiday inn express last night).. This just opens up too many issues: support by amazing charts, data changing concerns, and also competitive issues regarding the EHR. It doesn't matter if one is right, it is a matter if the jury suspects that you have been able to "fiddle" with the database.
The original database (AC) remains intact, even in your scenario, so if the courts allowed the SQL database to be supeona'd, etc.
It would be easier to produce the "paper records" (copy of the chart, which is usually what the lawyers want) and alter them (altering PDF files is easy, just be sure to "flatten comments").
I sent out a query on Sermo.com: got 1 hit back:
Posted via iPhone February 17, 2012 - 08:30PM EST
The short answer is yes. I have heard rumors of lawyers looking at the meta data produced by the EHR.
But that refers back to the fact that the orginal database (AC) remains unaltered.
